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4569 Slater Rd06/11/2010 FRI 11:56 FAX 2002/005 JUN 11REC'DI City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit t. [��1 `-' Permit Fee: /242' 6� Date Received: Staff: 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: (7—tf) Site Address: �6 C/ Tenant Name: (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER Name; \..�.�1AI �b h (2-:43 1) LLP Phone: Address / City / Zip: Applicant is: Owner ,,Contractor TYPE OF WORK Description of work: De,V. F.. (`h.) ,C3 tq '�, Construction Cost: 45 _i Y 53 .- �0 c 3 - f ! CONTRACTOR Name: 1 ?rM(license #: ) --7q1) . Address: 33 SIS /OF..., /1-K- City: A. i 6l 1 ' ,\/L73) '/ State: 9< y t i 1i' Zip: S.lital Phone: Sy.��'�CO Contact: Email: ej 't _r S [ f ARCHITECT / ENGINEER Name: Fl- At.S,S c1ih ffJ tr- 6' nr4.n ,Re istration #: ..#i Q Address: gDOWtihLA �re. City: 1V1/0)S Stale: V Zip: S7 15Phone;Phone: ,, r�, Contact Person: eQ, - U Itn2e1 Email: &A.. Ji (�eAze. e. ,s 9 Q/1►` M t`. 1, Licensed plumber installing new sewer/water service: Phone #: z• r .N, ,?,iif , 0/is.',rarr „ i0 rti#4.0.••eliiii " s'�',,, f yp1..Stgri ecle;p#p'sfileied'fo'beprlgOiliifiii„ 'ft ot�,raPiy Onsafmt sr '"xl i� 'E ,rL,u,,yt`{ tf ie�'ooi i'a;.,�dy�,'e,:' y i,� ry�e,f, ,.1 they 10,6 filipii rnajr bM lit srfe . Fon- tibil if yofi p4ot ►�1f;r p 0:,easdifOitattwal+)`g4y� , ; 6 S//++ �./ td; 4 u ,, Y�,l,`,it t: ,f'1+ P, r h`ISjY {t}•N F � , '� tY°J ,.4:�'i. . �F'r�, ,lyd„, ,t,dt7.,f: i . f:r•, wi'rdOiJ lude•'i~i�i$"1tey'a/'�+{ '+ii1$i'S@ri t,.`•.,, , 'i, I',;'.0400. £tt`p:;,3 ACM: '.r,.)l CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans_ Applicant's Printed Name Applicant's Signature Page 1 of 3 M Q- q67 s I I -c am(. DO NOT WRITE BELOW THIS LINE L -11 -/(do SUB TYPES Foundation Fireplace Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration' Fire Repair _ Replace _ Repair Retaining Wall Garage Deck Lower Level Porch (3 -Season) _ _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement _ Siding Move Building _ Reroof DESCRIPTION Valuation Plan Review (25%_ 100%__ tyy Census Code # of Units # of Buildings Type of Construction vv� REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: ^_Rough In _Air Test Insulation Meter Size: Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final Windows _ Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Y" `LJ niN7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required ,( Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL �c Page 2 of 2 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: --(7—ll—/C) Site Address: Tenant: J/SV-7 5 Comer Rd 7 Suite #: RESIDENT / OWNER Name: C Iii VCAL)r, i &I e, L1Z P 1\ 1 f/1 phone: ,e Address / City / Zip: 4-sct? S Ih$ - &-• Applicant is: Owner , Contractor TYPE OF WORK Description of work: \I7 1 1Vkiad IGS stmt;,' d- J-- C;c 1; (il /J� e y1 Construction Cost: `T b/ 00D Multi -Family Building: (Yes X / No ) CONTRACTOR Name: (' \'U* E A ( (Yo%tA/ License #: /79 Address: SYS )D-1- krt. f City: 0 `Cell Alley State: V Zip: -5.-- % c)--7 Phone: (76?) ,--- —/2 OD Contact: S J 4' ----J()rt-14K Email: �tusp GI e,p e/t ca,cool. COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to. conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ro ✓iL Applicants Printed Name Applicant's Signature Page 1 of 2 . ~ ~~"_.-f,--~~ CITY OF EAGAN . . q ~ . 3830 PGot Knob Road, P.O. Box 21-195, Eagan, MN 55121 . l~ 53 ' ~ PHONE:454-8100 BUILDING PERMIT 5~~ gp Receipt # Tob~usedtor 1z UNIT A1.D. Est.Value 11325 Date IJ~V~MBF_R 21 ,~g~~ SiteAddress Q569 SLATFlt RD Erect Occupancy S~£ Bt' 11325 Lot ~ &ock 1 Sec/Sub. CINNAP~lON RIDGE Remodel ? Zoning Parcel Na.~ 7TH ADDITIoN Repair ? Type of Const Addition ? No. Stories ~ Name CINt~At•SOIV RIDGE LTD P?~RTA1EftSFiM~Ve ? ~ength _ ,''~~RQUETTE AVE. ~ STE 200 ~molish ? Depth 3 Address Int. Impr. ? Sq. Ft ~ C~~ :'1PLS phone ~55 4 Install ? = o Name F'~NA d~ SONS INC Approvak Fees ~ Address., ARKE R Assessment Permit P~~gIE - WaterB~Sew. Surcharge ~ City ~Z ~~?":I}SOR FARICY ARCHITECTS F~e e SAC Review W W Name ~ Z Address ' Eng. Water Conn._~ g W city ST P~~tSone ~~~-0655 Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the gldg. Off~~B Tr. PI. information is correct and agree to comply wiih all applicable State of Minnesota Statutes and C9tv of Eagan Ordinances. APC PB~ks ~1 ~--y Var. Date Copies Signature of Permittee " ~ ~ Tota~ FT2~'+NA ~ SOr7S INC A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official P~rmN No. PnmN HoNNr Dste TNephqk N PlumbMp ,Q~ •7 ~ -/G- ) / ~ N.V.A.C. ~~-2 Lf~' r Elec4ic ~ ~ ~ S ~ C • k ~ `i ~ ~ ~/C 5 -S~ u~ << ~ P~ ~'`i9 Insp~ctlon Date lesp. Comm~nb Foodng~l Foodny~ 11 Foundadon Framiny ~ . r Roofiny Rouph Pibp. -t Z-~ 7/~ - r~ Rouyh Hty. ~ 7~// Insul. ~r ~J Flnplace Flnal Hty. F~na~ Plby. 3~ ` &dq. Flnal /U Cert. Oec. 2 - '~j~cc'/ •IP D~ck Fty. D~ek F~my. Cpcdb~ Loeaflon: WNI Pr. Dhp. • PERMIT # ~ ~ , PLUMBING PERMIT RECEIPT # ~ ~ ` - ~ CITY OF EAGAN _ _ O ~ 2 c•~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: U CONTRACT PRIC~~.JCC~ PHONE,54-B100 Site Ad ress r ~ BLDG. TYPE WORK DESCRIPTION Lot Biock ec(Sub ` ~ , ~ Res. New ~ Name c' ; t Mult Add-on ~ Address ~ ' " L1t Comm-~- Repair c City Phone ~ Other Name /`a ef- ~,'s , ~ N, FIXTURES TOTAL 7 /J a~~'lCl~ e~ ~ P ~v r ~ Water Closet -$3.00 3 Add ~Bath Tubs - $3.00 p Cit~" Phone y- Lavatory -$3.00 ~ Shower - $3.00 FEES ~Kitchen Sink - $3.d0 COMM/IND FEE - 145 OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMJM - RESIDENTIAI FEE _ a10.0p ~~undry Tray -$3.00 MINIMUM - COMM/IND FEE _ pp pp Floor Drains -$1.50 STATE SURCHARGE PER PERMIT _ ,50 ~Water Heater -$1.50 (ADD a.50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00 BEYOND $1,000.00) Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIG URE OF PERMITTEE FEE 3' J , STATE S/C: ~ FOR: CITY OF EAGAN GRAND TOTA °5~ r.. . ~ ~ . . . . . . . . . .-r :4 . ~,Mi-' s . . • r ' , . ~ , PERMIT # . ' ' • MECHANICAL PERMIT RECEIPT # - CITY OF FJIGAN ~ ~ 3830 PI~OT KN08 ROAD, EA(iAN, MN 55121 DATE: CONTRACT PRICE U 4 4.~` PHONE 4548100 Site Address ~ - ~ ` ~ ` ~ ' ~ • g~pG. '~ypE WORK DESCRIPTION Lot Block Sec/Sub ~ ~;!:::S+~I. :iL•CH.~.`iCt~ Mult Add-on , Name ~ Address 3u00 Kerinebec Driv~ Comm. R ir c City t'`'-~~`~~` Phone --1565 Other Name "<<ll'a 4 Son Inc. FEES L c Address '"``'U '~arket Pl~ce llrive RES. HVAC 0-100 M BTU -$24.00 ~ City ~'.~Y~ Yratrir• phone 941-02ti~' ADDITIONAL 50MBTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 : l u U u ~ 1 GAS OUTLETS - 1.50 EA. Forced Air ~ M BTU COMM/IND FEE - 146 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.5D S/G IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other • ' FEE S_'U.~1r ~ i ' . . , , ' , ~ S/C: • 5 ~GNATURE OF PERMITTEE ~5:'(i. , TOTAL• FOR: CITY OF EACaAN . CITY OF. EAGAN . . . ~ ' " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT c~E gp Receipt# % Tobeusedfor 12 UNZT Ni.D. EstValue 1~3?5 Date NOVEMEER 21 1985 SiteAddress `~573 5LATF.R RD Erect LT Occupancy SEF 8P 11325 Lot 6 Block 1 Sec/Sub. CYN~11~N10N RIDGE Remodel ? Zoning 7TH ADA Repair ? Type of Const Parcel No. AddiGon ? No. Stories ¢ Name CIP~I3r'1I~lON TtIDGE LTD PARTNERSH~ve ? ~ength W 111 % MARQiJETTE AVE S'1.'E 2 0 0~molish ? Depth o Address Int. Impr. ? Sq. F+ city ~Z'S Phone 33Z-5544 ~nsta~~ ? a Name Fi2A~iA & SONS Ii`3C Approvals Fees Z~ 90 :•l~t;KST PL DR S:.'~: 1's ~ i Address Assessment Permit ~ City P~~RIE 941-02 2 WaterB~Sew. Surcharge Police Plan Revisw F W WJ:27DS~R FARICY ARCHITECTS Fire SAC W W Name Address 2R 5'~H ST. - STE 375 ~ n Eng. Water Conn. <W City z~ ='~~~~hone ~~~`0655 Pianner Water Meter Council Road Unit I hereby acknowledge that i have read this application and state that the g~dg. Off~~ Tr. PI. information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. APC Parks ~ Var. Date Copies Signature of Permittee ~ `'~'""'U~ ~ ~ ~ FRA1~A ~ SONS ING Total A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordrrtances. Building Official - - _ - ~ P~rmit No. RermR Noidsr Daia TNephon~ N Plumbing ~C. H.V.A.G ~~I ~I~~~'7 Electrle ~ ~ ~ ~ ' ~ G9 Softener Inspectlon Date Insp. Comm~nb FooUnys I ~/1~' ~~r;' ~ l{~,~ Footings II Foundatlon Framing - ~i Rooflng Rough Plbg. ~ - ~ / ~ ~ Rouyh Hty. _y=~ 7 ~ Inaul. oT Lt ; q ~ Fireplace Finai Htg. ~ ~ Final Plbg. l~^~3 fj ~ Bidy. Fi~al Cert. Oec. ~ -p2~ ~ ? D~ck Ftq. Oeck Frmy. Dese~ib~ Locatfon: WNI Pr. Dbp. , PERMIT # ~ -J ' ' PLUMBING PERMIT RECEIPT # f 7~ CITY OF EAGAN ~ ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE ~3 ~~O PHONE 454-8100 Site Address e BLDG. TYPE WORK DESCRIPTION Lot Block Sec~~ub ~ Res. New ~ k'~.~VZ.:T. ''fi;CH m Name Mult Add-on ~ Address 00 ~:;::lNE~SF.C i)tt Comm~ Repair c Ciiy ~C`~`~ Phone 5`- Other N~. FIxTURES TOTAL Name ~~''i"`~ ' ~ ~ r Water Closet - $3.00 3 Addr ~s y~ ~~~k /'rr~ C ~ 1,`Bath Tubs -$3.00 ~ C~~de. ~ I'. c ~ ~ ~ - t Phone ~ ~ • ~ ~ t3 L~Lavatory - $3.00 Shower - $3.00 FEES ~'~Kitchen Sink - $3.00 COMMIIND FEE - 196 OF CONTRACT FEE UrinallBidet -$3.00 MINIMiJM - RESIDENTIAL FEE -$10.00 T''~~undry Tray -$3.00 MINIMUM - COMM/IND FEE _ 20,0p ~-Floor Drains -$1.50 STATE SURCHARGE PER PERMIT - .50 ~-Water Heater -$1.50 (ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00 Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $ip.00 / Private Disp. - $10.00 ~/i//t-2,C1/ r Rough Openings - $1.50 ~ SI ATURE OF PERMITTEE FEE STATE S/C: GRANDTOTAL•~ FOR: CITY OF EAGAN ' CITY OF EAGAN WATER SERYICE PERMR 3g~0 pilb! Knob Ro~! PERMIT NO.: ~ 1i , ~ P. O. 8ox Z'.199 p^TE: nl s i 'i Eagen, AAN 55121; ~ Unin: ZoninO: r.r~~a e _~ot:_~ Owrnr: ~ ~ nnamon Mdrosr. 4 , ater .~.oa~, ~ ' Slt~ Address: ~ enze ~ec an 1 ,~,,,t . ~ P1un~?: •on Charps' Msty~ t~fo.: a' , „ ,peecsir: , ~ , ~ / iA~ ' Stu: @ OFE ~~~~n t F No.:~ ~tl ~ 7 ~ • ~ ~ . ~ 1 1~o ao~lh ~ , ' i~EQt~1RED ~ ] p~ Paid: BY `v i W ~rop.: pots of IraV.: g- z t-~ y~pTER SERVICE p~R CITY OF EAGAN ' ' 3~{0 Pilc+t Knob Rosd PERMIT NO.: r_.: P. O. ~ox 21199 D/?TE: .'`;tit 3 E~gsn, MN 55121 ~ Un~ts: ~ Zoniny: - .c~^= U"'^~r' - - u - ~ i ir,~aT~ti ~ /~ddrosx ~~~g `73 Slat~,- ,r~~ ; Slt~ Address~ enzel ~!ee~ar. ic ~ . ; f.~ s~^, , ' ud ~ p~~er ~p,,~ction Chorqa~ - Me1~r No.: ~p,mt DePo~t~ 1 i:) ~i~-~~'~ 51se: Pertnif Fee: ~~1~+~ Reod~r No.: SurcFw?ys~ 6. ~ E~rw 1 N~ !o aew~dll ~ l~ CN1 Choro~ paM.+~ Tad: p~ Pnid: ' gy ~e ~ ~r?sp.: 1 CITY OF EAGAN ~V~ ~MR 3830 Pilot Knob Roed ' " PERMIT NO.: - _F, ~t; P. O. Box 21199 Eagan, MN 55121 ' Tr.z f t~; Zoninp: F`~ Na of Units: ~`r:;;`_c1 '.'~OiiB pwrnr. Addrcss: 4 4 5i 3 S lat ' --~,nn Fd ~ 7- Sir. Addres~: 5 6 _ - ~ve!?ZE. i_ A±er_hart~ c : Plixribu.: _ ~ n,~ , ~flpd 5,,:`- ^ - r tor+ C?+arp~. , ` . : ~ 1 1 M~w te ~M~!? ~ 11w C11f ~f yN~ Conrnct Oe~w~~• Surchar0~. By l~Ai~c. CFarps~ Date of ImP•~ Totoi: DaN Pold: Inap.: ~ CASH RECEIPT n . ' CITY OF EAGAN ~ 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ATE ~ ~ ~ ~ 19 ~ r R[CBIV6D / nAA I+Rdd ~ ,JL~I ~ AMOUNT $ IDZ~ ~ ? @ DOlLARB T~e ? CABM ? CHECK .0.1~ /~1~ e~~a 5 9 5~3 ~ 5l05 ~0-~ r1P~,~i e~, ~7 7$D~ ~ 7 7 9/Q,~»i?_ s~i.r~ l ~uwo eooe ~MOUNT ~ 3 ~ C~ 5~0 y~Gl G 5/ Rd 37~. / /S7 a~SG 9 73 3 ~~7/ Thank You BY~ ~ N_ 65822 ~ White-Payen Copy Yellow-Poating CoPY Pink-File Copy - CITY OF EAGAN . • 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 N~ 11334 PHONE: 454-8700 ~Sr BUILDING PERMIT SEE SP Receiptp 7obeusedfor 12 UNIT M.D. Est.Va~ue 11325 Date NOVEMBER 21 ~g85 SiteAddress 4573 SLATER RD Erect ~9 Occupancy SEE BP 11325 Lat 6 Block 1 Sec/Sub. CINNAMON RIDGE Remodel ? Zoning Parcel No. ~TH ADD Repair ? Type of Const Addition ? No. Stories ~ CINNAMON RIDGE LTD PARTNERSHI~~e ? Length W ~ Name Demolish ? Depth Address 1117 MARQUETTE AVE. ~ STE 200 ~nt.lmpr. ? Sq. Fr ° Ciry P'IPLS Phone 332-5544 ~nstau ? a FRANA & SONS INC Approvah Faes o Name $a Address ~490 MARKET PL OR Assessment Permit SEE BP- ~ ~~ry EDEN P~RIE 941-0282 WaterBSew. Surcharge 11325 WINDSOR FARICY ARCHITECTS Foece SIAaC Review w Name Address 28 W 5TH ST. - STE 375 Eng. WaterConn. a W ~;ry ST PAULpnone 227-0655 planner Water ~neter Council Road Unit ~ Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 11/21/8 Tr.PI. ~ information is correct and agree to comply with all applicable State of Minnesota Statutes and ty f Eagan Ordinances. APC Parks ~p~`.`~_`~ Var. Date Copies Signature of Permittee Total A Building Permit is issued to: FRANA & SON$ INC on the express condition that all work shall be done in accordance with all applicable te of Minneso Sta tes and City of Eagan Ordinances. ~ A,-_-. ~ Builtling Official ~ vv - ~ . . . . ~ ~ . . . . . CITY OF EAGAN 3830 Pllat Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ ~113 3 3 PHONE: 454-8100 BUILDING PERMIT SEE BP Receiptp ~7~.~- Tobeusedlor 12 UNIT M.D. Est.Value 11325 ~ate NnVF.MRF.R 21 ,~g~_ SiteAddress 4569 SLATER RD Erect C~ Occupancy SEE BP 11325 Lot 6 elock 1 Sec/Sub. CINNAMON RI~GE Remodel ? Zoning ParcelNO. 7TH ADDITION Repair ? TypeofConst Addition ? No. Stories w Name CINNAMON RIDGE LTD PARTNERSHIR~ove ? Length 1117 MARQUETTE AVE.. STE 200 Demolish ? Depth o Address Int. Impr. ? Sq. Ft. ciry ~'I'S Pnone 332-5544 ~nsta~l ? ~ FRANA & SONS INC Approvala Pees o Name 05 7490 MARKET PL DR Assessment Permit SEE BP ~ a Address 1-1~ ~ EDEN P~~}2IE 941-0282 WaterBSew. Surcharge Police Plan Review W w Name WINDSOR FARICY ARCHITECTS tz W TH ST. - STE 375 Fire SAC Address Eng. WaterConn. aW ~~~y ST PAU~one 227-0655 Planner WaterMeter Council Road Unit ' Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.OTi.11~21~8 T~.PI. Information is correct and agree to comply with all applicable State of Minnesota Stetutes and Q1(y f Eaq~Ordinances. APC Pafks U 6 ~ Var. Date Copies Signature of Permittee Total A Building Permit is issued to: FRANA & S~NS INC on the express condition that all work shall be done in accordance with all applic State of Minn ota tat nd Ciry of Eagan Ordinances. Building Official ~ ~ . . . . ~O ~1O//~~' REQUEST POR ELECTRI Gj1~V /-Ee-oa~jwi-a /~j' - y- V~}~ , SBB in81fYC~iOnB lof CoTO~e~~90 ~!rt aR'b~84'01'YBllow copy. w'~ ~ 1 6 8~ X" Below Work C'dvEY~ 6y':This Request ~ 7G Ada Rep. Tyoe ot Butimne ' Aooli6ncee whea Equiumen[ Wired Holfie_, Range ~ . ~Tep~porary ~r'v~Le 4 ~ ~Uplex Water HeaiEr~ ~ Lightin Pixtures Apt. Builtling Dryer;:~-::.-~~ Electri~ HeaLn Commercial Bldg. Fumace,;;~. ' ' Silo Unloader. Industrial Bldg. Air ortditloner Bulk Milk Tenk Fafm Othrr;` Ree:a v . iher ISper.ifyl t. ueu Y th~"p ';:F.'~:.:.,'~ Other. ompute lnspectron fee Below ~.~3 ~r~-~ ~ ~ ~ ' p Fee Service EntrenceSize n Fetl' ~~'Faxdars/SUb~eetlars N fwe Circorts 0 to 200 Am s O~YO 30 qm s 0 tci 30 t1m s ~ Above 200 Amps 37~ to ry00. Amps 39,; ro 100 Am s $wimmingPool ~Abovel~A-Am s Above'700_Am s . Transtormers ~ ~Irrigatibn Booms ~ Partial-`Ofh Signs ~''~,:,$Vecial nSpection g T(7T ,FP_,~O~~Z emerks ' ~ 2~2. ~/~~J u ,"`~..I' S~ Rough-in ' - . 1M' Elac rical ~ ~ ~eitor; hereby fldy.that tha nboye Finel ' peCiian has beeq . ~ ~ mede.-..:.: ~NarapuestvolElBmontlmirom ~ ~ ~ , 3~ in~reauest vo~d //5`c~6 5'-' Jl~~~ ~L; ~~33/ ~ lo li ~C%~ 18 npn~hs /rom a 318 6~ g f~ ? ~ / a ~S Req~iesf Date Fire No. Hough-in Insuecti n ~ Ae~redr ?No ~Reatly Nuw Q Will Notify InsPec- L1~es lor When Ready v Lice~sed ElecVical Cophactor 1 herebv request inspacllon of ahove ~'~-C ~ ? Owner alectri~al work insta Iled aC Stree~ Address, Bon or Route No. Crtv / W ection o. 7o~ynship Name or No. Range No. Gounty ~ U OccupantlPRINT Phone No, ~h4 -~d~'l Paw¢r $upplier ~ Address ~ % G M d+^~ Elecvical CoMtactor ICompany Nam I Convar,tor's license No. 9t /2 ~~e<~r J G O?~ 33 Mailin9 Atldress IContractor or Owner Making Ins~aila~ion) lY 1~ C..~.~,~- AuMorize Sien re 1 onVactor/O r Ma -ng Installa~ionl . Phone Number -5d ~ MINNESOTA STAT 80APD OF ELECT ~ TY THIS INSPEGTION NEQUEST Wlll NOT GrigBe-Midway elde. - poom N-781 BE ACCEPTED 8Y TNE STATE BOANO t821 Univarsity Ava., S~. Vaul, 66104 UNLESS PNOPEfl INSVECTION FEE IS pF~~e i~121 ?9~ p~~~ ENCLOSED. ' G~ _ s- ~6 ' REQUEST FOH ELECTRICAL INSVECTION /E/e-oucwt-oa ~See~ins~ruetio~s for tampletinp this }orm on baek ot yellow copy. / ~ ~G' tG / - ~~J~ 69 ."'1(" Below Work Covered by 7his Request G _~p e o1 Builtline AoP~~~~cea Wind . Equipme~~ WirM Home Range Temporary Service Duplex Water H2ater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Sito Unluader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Otne. Peci v ~~her ISUCdfyl t rsr uccily ther O~hoer ompute Inspection fee Below p Fee ServiceEntr9nca5ize p Fee Feeders~Subfeeders N Fae Circuits 0 to 200 Am s 0 to 30 qm s 0 tn 30 Am s Above 200 qm~s p~ 31 to 100 Amps 31 to 100 A Swimming Pool Above 100-Amps Above 1~0_Amps Transiormers Irrigation Boorr~s PartiaL~Other F e Signs Speclal Inspection S •fO TOTAL F"" Nemarks ~ o ~ ~'J Pou9n.in ,'-~'J~p I, tne ElecVi„ ' . ~ Insoec~or, hereby ~ certify that t~e flbove Final ~ ins0ec/ion hes been , mede. ~nlerequeatvoitll8monihafrom / ~ _ I/ ~r ~ 7, /~o ~ ~ ~ C ~ This reaue~void / ~ f//i~ ~ lB 8~ , U ~ d ~ 7~'-" ~j~ ~ ~ 18 monlhs (rom y ~7 ~j~' ~ : 68~ L(o ~4l «c RequeSt Oaie Fire No. Rough-in InsVection . Required? ~Aeatly Nuw ~Will Nolify InsPec- ?Ye5 ?NO H'~en fleeAy ~ Licensed ElecVical ConVacro~ I hereby request inapection oi above t~ A~ ? Owner electrical work ~re~elled ar. 6 Sveet Atldress. Boa ar Route No. C~ry b 4569 + 4573 Slater Road Eaga ~t-o~-a-( act~o~~ o. Township Name or No. Hanye o. Counry Eagan Oc<uOantlPplNT) Phone No. Power Supplier - Address Elecirical ConVactor ICompany Name) Conirar,mr's License No. K' N' R Electronics, Inc. 000 581 4 Mailing AdJress IConVactor or Owner Making InStailation) 2076 East Center Circle Plymouth, MN 55441 Authorizetl Signawr (Contra tod0 ner Maki p Installationl Phone Number ~ 553-0962 MINNESOTA STATE BOAPD OF ELECTRIGITY TMIS INSPECTION HE~UEST WIL~ NOT Griggs-Mitlwey eld9• - Room N-191 BE ACCEPTED BV THE STATE BDAAD 1821 Universi<y Ave., St. Paul, MN 66104 UNLESS PflOPEX INSPECTION FEE IS o~.....e Ist2129].2111 ENCLOSED. ********************#*Yi*#}~*}~#*##Y • C i T Y O F E A G A 1~9 **~F' pAYMb?TI'' OF FF~ AT T~ pg * APPZ.ICATION DOFS NOT O~STI1S714: APPROVAL OF PE7ibffT. 'APPL'ICATION FaR PERMIT * ~ • ~ INSPFXTZON OF SEF43t AAID/~t FII~gR • *F n~~•rAT.TATTONS FTIIS~ N.YP ~•'S~ SEWER AND/OR WATER CONNECTION ~~7LID U[7r73, PERt~ffT AAS BF}~7 ' . • * APPR0~7F9 _ . * r ~ * * ***,r * *.x *w *,t,r,t ~ **#:x**:~rr*::wrt, P ease Print 1) PROPERTY ADDRESS : 45(p9`5rS73 Slater Rd. LEGAL DESCRIPTION: /p 1 Cinnamon Ridge 7th Addition Lot B ock Subdivision or Tax Parce ID ~ IF EXISTING STRCC'IL72E, DATE OF ORIGINAL .B[1ILDII~ PERIdIT ISSC'Pd9CE: . PRESENI' ZONIT~/PROPOSID L~SE: (~n Yearj ~ C~1tiP~CtCIAL/REPAIL/OFFICE ? R-1 $TNGLE FAMILY . _TDIDC'STRLAi, C~ R-2 DOPI.EX Units) ['j INSTITL~TIONAL/GpV~~ ~ R-3 7.UWNHOUSE (Three + Units) ( L~y~j [~x x-a ~AxTr~rrr/corroorizrr~[.~ ~ 2)( i z vnits ) 2) ~ FRANA & SONS, INC. - ADDRE55: 7490 Market Place Dr.ive' CIT^f' STATE~ ZIP= EDEN PRAIRIE, MN 55344 PHONE: . 3) ~ 4~: N,~: For City C~se ~ iaiGni7F~ MECHAMICAL - Pl~snbers License: ADDRF.SS: 3gpp g~;yNE6EC DAIVE, EAGAN, hilNN.55122 ~i~ CITY, STATE~ .ZIP: , . . ~ ~Piied Not record~ PHONE; MASTER I,IC~NSE# 001445M2 Sta ~a7, 4) • • ~ +~u~~ . . . . , FRANA Fx GpNq TNC ~ . ~ ' ' . ADDRESS: SAME AS /k2 . CITY. STATE. ZIP: PHONE: , ~5) ~ ~i v ri r: • : ~ • . Q NNNECI'ION ~ CITY SEWER CONN~!'ION 1U CITY WATII2 L~ ~ ozc~ ~ . . 6) ~ PLEASE HOLD ApPROVFD PF~2NLiT FOR PSCK-UP BY OIVE OF ABOc7E PI.F'1~SE APPROVFU PII2MIT TU 1, 2, ~ 4. A$~VE ' (Circle one) ' 7) r. r. q.. ti' ~ r, i. C~~'Fi'.~ 6/26/86 r• • ~ ::i «:r,. ~ U ~ I^ • ~ ^ a I:a• . i? J• ux• • 71• • JI• ~ tlal I 1 I DI' ~ :A• • 1. ' J~ l~~ . ~OR CITY USE ONLY . PERMZT rt ISSCED ' 7 ~D Pd w/Bldg. Permit FEES: $ "S SEWER PERMIT (INCLUDE SL~RCHARGE) $ ~~'S ~ WATER PERMIT (INCLUDE SURCHARGE) , ' $ $ WATER METER/COPPERHORN/OL'TSZDE READER $ $ WATER TAP (INCLL~DE CORPORATION STOP) S $ SEWER TAP S $ ACCOUN~ DEPOSIT - SEWER $ . $ ACCOONT DEPOSIT - WATER ~ $ Tr-~ C~Z' . CrL~ $ WAC . . $ ~ °~i OD $ SAC . $ $ TRL~NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ ~~~P n $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: ~ `y. ~7 ~d-~ $ C~ TOTAL . .S 7 ~S S~ ~ y~~ RECEIPT - -RECEIPT` " DOES DTILITY CONNECTIOi~ REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED By THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SL'BJECT TO THE FOLLOWING CO[VDITIONS: APPROVE~ BY: ~L~ _ O i / ~ TITLE: DATE : ~ (p City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: /c `7% 3 ma Permit Fee: " / 00-3 Date Received: 3 Staff: 2010 MECHANICAL PERMIT APPLICATION Date: `"5 —1 d Site Address: 9 Lt_c1e3 Li 73 Tenant: , i �vICCW`OY�ldA 5 Suite #: J RESIDENT / OWNER e -) r Name: et+Qr 6OC,O, Phone: Address / City / Zip: 900 c Ave S. illi.pi 5 5571002 --- D02 ---CONTRACTOR CONTRACTOR License #: / h/qq; 790 & rd Name: Cite( ` eC/ , j E r Address: _/ /14 (_.-1/-1-- P �cl' • City: sE at7 O / llc— , P State: %1')N Zip: 65337 Phone: 95—a — r0!`7 ,793c2'3 Contact: Email: TYPE OF WORK New replacement AdditionaljAlteration Demolition Description of work: F(,t v ac e_ i (( , NOTE: Roof mounted and ground mounted}mechanical equ pmenf is required to be screened by City Code. Please:Contief the Mechanical Inspector for information ori permitted screening methods PERMIT TYPE RESIDENTIAL Fumace COMMERCIAL _ New Construction 1----ititerior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / _ Remove) Other **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) �y�y $.50 State Surcharge) $ /t , 000 TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ 7'0, 00 x 1% _ $ Permit Fee - If Permit Fee is less than $1,000, = $ / 0—D Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 �7 = $ /,e 0 , 61) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans kJi J Y('.- Applicant's Printed Name x Applican s ignafur der'Ground: Rough In Ale Test Gas Service error" HVAC Screening Inspection-! City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Fort Permit #: Permit Fee: �f Date Received: Staff: 2010 COMMERCIAL PLUMBING � ! PERMIT APPLICATION' / Date: 3/231/0 Site Address: `7 6�o , 1rc.�hec Y\f c r 6 7 Tenant: Suite #: PROPERTY OWNER ff /r ( 6S i R y� f ZVO Name: sne � t2r" Ce r o d',9.��t-�Cr� Phone: CONTRACTOR Name: /QdU0.nce4+ e.c.„n(co_ , LLL License#: Address: I b. /2_ C 1 z f 'f IO -c t_ City: �jcRrf\5u'r ► le State: ml Zip: 5-5737 Phone: 952.- Y S'5"- 000 Email: do -,re. acijo ✓.CeL-) fn.e c ka"-J c4 ( 1 cow) TYPE OF_ WORK New / Replacement Repair _Rebuild Modify Space Work in R.O.W. _ _ Description of work: fQ {�� c 0 t(,fi? +h o enc p p ip� PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System ( yes /4,_ no) ( RPZ / PVB) _ • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes No• Flushometers Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ e5 73°.V' x 1% Required - If Permit Fee is Tess than _ $ 3 5 73 Permit Fee on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ 15L/ State Surcharge $1,000 Permit Fee (i.e. Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ Su _ — - p b• s CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to digto receive locates of underground utilities. www.gopherstateonecall.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start withgut-a permit; that theyvork yiill be in accordance with the approved plan in the case of work which requires a review and approval of plans. x art L.-nrz9 Applicant's Printed Name x Applicant's Signatur FOR OFFICE USE Required Inspections: Under Ground Approved By: Date: Rough -In _Air Test _Gas Test Final PRV Required. Page 1 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: �w. q' 3 -3 Ce Permit Fee: ' 76' ' Date Received: Staff: 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: -8-10 0 Site Address: Tenant Name: 46711 la5fer Rci 45 -7 3 (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER Name: r- C1/43rpo .�" Phone: �/�- Address/City/Zip: %a S/k+P% koc FAg1,A, 111N Cs -42 Applicant is: Owner Contractor TYPE OF WORK Description of work: ke-Roo 4- !'p Qi,,.i id;V1-gs- 0i- Gt L S u Construction Cost: 30,000 CONTRACTOR Name: G lea--reAA Co(ypU AllO.1' Alia/ r4C License #: / / 94 Address: /)3 'S- /O / vv., W. . City: /OYeA V& iky State: I f 1 N v Zip: SS/Ic,7 Phone: C7b.- C 6 — /30 Contact: ....p - - Email: Y -V -s (r G i 'e} oda c a . co M ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x sprJnk Applicant's Printed Name Applicant's Signature Page 1 of 3 Citi of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink' Permit #: Date Received: Staff:" 2010 RESIDENTIAL BUILDING PERMIT APPLICATION CA l� Date: /2 r a ^ / d Site Address: 4 16 4' 3-73 5/et.iv -/ Tenant: Suite #: RESIDENT / OWNER TYPE OF WORK CONTRACTOR Name: SLL/4- /(000 Cr os3 foal Address / City / Zip: Applicant is: Owner X Contractor Description of work: 72 Q . /1 /t% Construction Cost: 0/ "7 a Name: Address: CP %' 4 y State: A-. / Zip: Contact: (Fere co Phone: q52- '''3s-8 -- S/ 2.47 1rce-1r /i Ce *ems Multi -Family Building: (Yes k / No License #: c 6 / S/ City:: /�. p/£::! Phone: `7 9 O^ //74 4 Email:2 I Com" f Q, ferarad-kJ. to COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.orct I hereby acknowledge that this information is complete and accurate; that the work will be in co Eagan; that 1 understand this is not a permit, but only an application for a permit, and wo accordance ' J Alproved pla in the case of work which requires a review and approv x G-� � CkA,c'ck Applicant's Printed Name Appli is of p ance with the ordinances and codes of the City of otto start without a permit; that the work will be in nt's Signature DO NOT WRITE BELOW THIS UNE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replac Retaining Wall — Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation ( t:/ 0 Plan Review (25%_ 100% I ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Insulation Meter Size: Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation — Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required 'v Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick _Final Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL W--1("/ oak s atc4, )z° aoi S DO Panel 9 of 9 JAN 20 '06 10:32AM *City 3830 Pilot Knob Road Eaton MN 66122 Phone: (661) 675-5875 Fal: (851) 675-5694 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Date Received: Permit Permit IiUse BLUE or ELM Iles • 3/4 For Office Use Fee: Staff: Dab: Site Address: L/ 5 5-10 4 V Tenant: Name: \ ..Lnt11,(fi(;Y1 t Phone: •1 Suite G: 651 la Lee Name: bitb l de r:ZVI tL i( %1G JeI411:12ense # Ogg 7q9Ptit Address: itl 0571' Ct arr. i -'City: Cat4-7661_, _ State:0 Lb: ` Phone: y-y/yg53g3 Email: rl'li) / New n Replacement Repair _ Rebuild , Modify Space — Mirk in R.0.16.– Description of work: Re kCe a 1 X 3b Igik J COMMERCIAL em New �Modwy Space �f .. Irrigation System ( _ yes/ no) ( - RPZ / _ PVS) • Rin sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size 8 Type Fire: 1 Avg. OPM High demand devices? _Yes _No Flushometers Yes too COACIAL FEES: BOO m (includes $5.00 State Surcharge) OR Contract Value $ 3J ') 11011%% _ $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio meter Rlfia - If meant fells less than $10,010, the surcharge is 55.00 $ ef(s) - It the Ems Ftg is ' 510,010, the surcherge increases by 5.50 for each $1,000 Permit Fee $ State Surcharge (i.e. e 510,01011,000 Permit Fee requires a 55.50 surcharge) e Following fess apply when installing a new lawn irrigation system $ Waw Pernvit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treetrnent Plant $ walw>w113 $ =5 3tattt sat jr TOTAL FEE bigik CALL IEFO E YOU D4G. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. t.sY 411 haws intend to dig to receive locates of underground utilities. twee aopherstateongcall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinance. and codes of aft, Cie/of Eeeen; that I understand trims is not a permit, but only an application for a permit, and work is not to start without a permit; that the wort saltie in acswith the approved plan in the case of work which requires a review and approv o1 plans. ,y, LTt-C-Al x f & LLS iCg- Appian Printed Name App ant's Signature FOINr UMW Approved By: Required Inspections: _Under Ground _Rough -in Air Test _Gas Test Final PRV Requited: d /11 013 Aft 1l r Cit of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: ' `CjQ 81 Permit Fee: 5 to 4 • 50 Date Received: `19 11. Staff: 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 00f0 f 13 Site Address: t/5 73)75b7 94 ler Oa Tenant Name: £4/I11Qi11 On a Ii 5c_ (Tenant is: New / Existing) Suite #: Property Owner Type of Work Contractor Former Tenant: Name: She/1'U (QfpO''1 / Ay, Phone: 5-02 - �5 -5 di) Address / City / Zip: /OO ilvp/chs troS3/'004 Applicant is: Owner X Contractor � Description of work: a ) 4- G�1 p 0/11 � l J 1 h f i Construction Cost: $ ao, 350.7x •f/ Name: 6i '1 60 License #: /956 / 6 33 jnn1 4 c ofde-, gig? Address: J � ! v � City: •'1 State: fI Zip: T510 9- Phone: 713- 5/ 1300 Contact: Architect/Engineer' i ! "7'4 f9l-� Email: jfi //dm t k''-frn Lo - Name: Registration #: Address: City: State: Zip: Phone: Contact Person: 01 Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Ota/11(410i-7 Applicant's Printed Nan'ie Applicant's Signature Page 1 of 3